Some plans offer formulary progressive options.  This means that a Member may further reduce out-of-pocket expenses for progressive lenses by selecting a lens from our Preferred Formulary table shown below.  Lenses selected from this list are covered at no additional cost.  Charges for additional lens features (Tint, UV Coating, etc.) may apply.  Please ask your eye care provider if one of the progressive lenses shown below or like product is right for you.

For plans that do not have a formulary progressive option, the Member out-of-pocket expense for progressive lenses is the same as it is for non-formulary options.

When the Standard Contact Lens Fitting Fee indicates "Included in Allowance", charges for the fitting fee are part of the allowance and will be accumulated towards the total allowance amount.

When the Standard Contact Lens Fitting Fee indicates "Covered", a standard contact lens fitting exam is covered separately at no cost when using an in-network provider. Members receiving a non-standard contact lens fitting exam are responsible for 80% of U&C costs, less $75.00. Definitions for standard and non-standard are as follows.

Standard contact lens fitting exams are typically performed for current wearers of conventional or disposable lenses.

Non-standard contact lens fitting exams are typically performed for new wearers of contact lenses or for wearers of toric, RGP, or multi-focal lenses.

Please note the Benefits Calculator assumes a Standard Contact Lens Fitting Fee in calculating the Patient Responsibility.